7771 936 September Drive [[[
Building Permit Confirmed yy,
Not Required
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR MECHANICAL PERMIT
Date-- .9. .............. ........ ._ ..... 197 Permit No.---------r..7 71------ --
The undersigned her makes application to the Plumbing Inspector of the City of San Jose
for a permit to install SIVe>rh�c rk.lifted 71 r� sid..
Exemption from reaaG re for fete oY afYorni for Contractor's License is hereby claimed
by,undersigned: as owner ❑ statement filed ❑
Undersigned at}esis that his Rafe of uth.r rnia'4o�i Cicati 'e' n3V-
is in full force and effect and property authorizesiris'Epplical' n.
Sen Jose City Business License #{
I certify that in the performance of the work for which this permit is issued I shall not employ
any parson in any maer so as to violate he work
en's compensation laws of California.
OWNER J 0 /i L+/
ADDRESS 9 3 (o -5 7�eMbr2I) 2 Lot No.
j
USE OF BUILDING SiN01tw w- LI--i/N n
280-20
936 September Drive owner
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